Individual provider · Type 1 NPI

Susan Jone Bloom, PSY. D., APNP

Psychiatric/Mental Health Nurse Practitioner · Coconut Creek, FL

NPI number 1396989141 Active

Practice location

6513 Sandpiper Dr
Coconut Creek, FL 33073-2414

Call (414) 455-0626 Map

Fax (414) 455-0626

Mailing address

777 N Jefferson St Ste 408
Milwaukee, WI 53202-3875

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X5697 (WI)
Psychiatric/Mental Health Nurse Practitioner 363LP0808X11017246 (FL)
Nurse Practitioner 363L00000X5697 (WI)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1396989141

Susan Jone Bloom, PSY. D., APNP's National Provider Identifier is 1396989141, issued on Apr 23, 2009. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Coconut Creek, FL. The record was last updated on Mar 4, 2026.